- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $17.78 / $52.48
| Facility | | $7.08 | $17.78 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.94 / $10.96
| Professional | | $5.01 | $7.94 | $10.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $6.76 / $6.76
| Professional | | $4.68 | $6.76 | $6.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $31.62 / $57.54
| Facility | | $12.02 | $31.62 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.50 / $9.33
| Professional | | $5.01 | $5.50 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $10.00 / $15.49
| Professional | | $6.76 | $10.00 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $8.71 / $9.55
| Facility | | $8.71 | $8.71 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $20.89 / $50.12
| Facility | | $9.33 | $20.89 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $6.76 / $16.60
| Professional | | $5.13 | $6.76 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.11 / $117.49 / $117.49
| Facility | | $85.11 | $117.49 | $117.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $9.55 / $21.38
| Facility | | $7.24 | $9.55 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $8.71 / $12.02
| Professional | | $5.01 | $8.71 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $8.13 / $8.13
| Professional | | $7.24 | $8.13 | $8.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $9.55 / $29.51
| Facility | | $7.76 | $9.55 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $7.08 / $16.60
| Professional | | $5.50 | $7.08 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $5.75 / $9.55
| Facility | | $3.47 | $5.75 | $9.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.62 / $9.33
| Professional | | $4.07 | $5.62 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $3.80 / $9.55
| Professional | | $3.80 | $3.80 | $9.55 |